Primary Rotating-Hinge Total Knee Arthroplasty: Good Outcomes at Mid-Term Follow-Up

Kowalczewski, Jacek; Marczak, Dariusz; Synder, Marek; Sibiński, Marcin

doi:10.1016/j.arth.2013.12.013

Cited by 31 publications

(15 citation statements)

References 41 publications

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“…Neumann et al 17 and Kowalczewski et al 18 reported smaller series, with 24 and 12 patients, respectively, but with more satisfactory results. Both had a minimum number of complications and good functional results, although they presented different indications: the first only performed revision surgeries and the second, only primary surgeries in patients with severe deformities.…”

Section: Discussionmentioning

confidence: 99%

Knee arthroplasty with rotating-hinge implant: an option for complex primary cases and revisions

Helito

Giglio

Cavalheiro

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo present the indications, technical aspects, and initial results of the first cases using Endo-Model™ implants in Brazil.MethodsA prospective study was conducted. It included nine patients submitted to a total knee arthroplasty, of which six were primary and three were revisions, using exclusively the Endo-Model™ implant. These patients were followed for an average of 12 months and evaluated with functional scores, such as the Knee injury and Osteoarthritis Outcome Score (KOOS), Knee Society Score (KSS), and visual analog pain scale (VAS).ResultsThere were statistically significant improvements in all scores evaluated in every patient. Only one complication occurred postoperatively (apraxia of the peroneal nerve) and did not require surgery revision.ConclusionThe use of a rotating-hinge implant for knee arthroplasty is a new option for complex cases with severe instability in Brazil; the initial results are satisfactory.

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Section: Discussionmentioning

confidence: 99%

Knee arthroplasty with rotating-hinge implant: an option for complex primary cases and revisions

Helito

Giglio

Cavalheiro

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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“…In 2014, Kowalzewski et al analysed 12 primary knee replacements using a rotating hinge knee prosthesis. 65 The minimum follow-up was ten years. Indications for the procedure included gross joint destruction, significant axial deformities and contracture with a dysfunctional medial collateral ligament in all cases.…”

Section: Indications For Rotating Hinge Prostheses For Revision Tkamentioning

confidence: 99%

Total knee arthroplasty using hinge joints: Indications and results

Rodríguez-Merchán¹

2019

EFORT Open Reviews

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Possible indications for a rotating hinge or pure hinge implant in primary total knee arthroplasty (TKA) include collateral ligament insufficiency, severe varus or valgus deformity (> 20°) with relevant soft-tissue release, relevant bone loss, including insertions of collateral ligaments, gross flexion-extension gap imbalance, ankylosis and hyperlaxity. The use of hinged implants in primary TKA should be limited to the aforementioned selected indications, especially for elderly patients. Potential indications for a rotating hinge or pure hinge implant in revision TKA include infection, aseptic loosening, instability and bone loss. Rotating hinge knee implants have a 10-year survivorship in the range of 51% to 92.5%. Complication rates of rotating hinge knee implants are in the range of 9.2% to 63%, with infection and aseptic loosening as the most common complications. Although the results reported in the literature are inconsistent, clinical results generally depend on the implant design, appropriate technical use and adequate indications. Considering that the revision of implants with long cemented stems can be challenging, in the future it would be better to use shorter stems in modular versions of hinged knee implants.Cite this article: EFORT Open Rev 2019;4:121-132. DOI: 10.1302/2058-5241.4.180056

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“…In this unusual case, such a device was implemented during the primary procedure. It has been noted in the literature that this is an appropriate salvage device in appropriate patients with good outcomes at the midterm follow-up [5].…”

Section: Discussionmentioning

confidence: 95%

Pushing the Surgical Limits: Primary Total Knee Arthroplasty Using Rotational Prosthesis in a 96-Year-Old Lady with End-Stage Osteoarthritis

Natasha¹,

Hourston²,

Thahir³

et al. 2021

Cureus

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We present the case of a 96-year-old patient treated for severe osteoarthritis with primary total knee arthroplasty (TKA) using a rotational prosthesis. The patient had significant medical comorbidities and her independence was limited due to her severe functional immobility. This case demonstrates that TKA can be a safe procedure with good outcomes in nonagenarians with severe osteoarthritis. Thorough discussion of treatment options is crucial for elderly patients with multiple medical comorbidities. TKA in the nonagenarian population can restore function and independence for patients which may reduce the burden on social care.

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Primary Rotating-Hinge Total Knee Arthroplasty: Good Outcomes at Mid-Term Follow-Up

Cited by 31 publications

References 41 publications

Knee arthroplasty with rotating-hinge implant: an option for complex primary cases and revisions

Knee arthroplasty with rotating-hinge implant: an option for complex primary cases and revisions

Total knee arthroplasty using hinge joints: Indications and results

Pushing the Surgical Limits: Primary Total Knee Arthroplasty Using Rotational Prosthesis in a 96-Year-Old Lady with End-Stage Osteoarthritis

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